Active NPI
Miami Lakes Therapy Center, Inc
- Speech-Language Pathologist
- Hialeah, FL
National Provider Identifier
1700101912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA9388
- Legal business name
- MIAMI LAKES THERAPY CENTER, INC
- Practice address
- 6073 NW 167TH St
C13
Hialeah, FL 33015-4336 - Phone
- (305) 362-5328
- Fax
- (305) 362-3303
- NPI assigned
- Mar 30, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Patricia Pelaez, ADMINISTRATOR
- Title
- Owner
- Phone
- (305) 790-0223
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Recreation Therapist | 225800000X | |||
| Occupational Therapist | 225X00000X | |||
| Speech-Language Pathologist | 235Z00000X | SA9388 | FL | Primary |
| Hearing and Speech Clinic/Center | 261QH0700X |
Addresses
Primary practice location
6073 NW 167TH St
C13
Hialeah, FL 33015-4336
Mailing address
6073 NW 167TH St
C13
Hialeah, FL 33015-4336
Phone (305) 362-5328
National Provider Directory
National Provider DirectoryLocations
6073 NW 167th St
Ste C13
Hialeah, FL 33015
Phone (305) 362-5328
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Hialeah, FL
- NPI 1164720983
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269907200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1270080000000",
"number": "1700101912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6073 NW 167TH ST",
"address_2": "C13",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330154336",
"telephone_number": "305-362-5328",
"fax_number": "305-362-3303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6073 NW 167TH ST",
"address_2": "C13",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330154336",
"telephone_number": "305-362-5328",
"fax_number": "305-362-3303"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIAMI LAKES THERAPY CENTER, INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-30",
"last_updated": "2010-04-01",
"status": "A",
"authorized_official_last_name": "PELAEZ",
"authorized_official_first_name": "PATRICIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "305-790-0223",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "ADMINISTRATOR"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225800000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Recreation Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA9388",
"primary": true
},
{
"code": "261QH0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, Hearing and Speech",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hialeah, FL
- Miami Key Rehab Inc
- Miami Lakes Assisted Living Facility, Inc
- Miami Lakes Medical Center Associates PA
- Miami Lakes Medical Center Associates, P.a.
- Miami Lakes Medical,Inc
- Miami Lakes Urgent Care Center Inc
- Miami Medical & Rehab Center Inc.
- Miami Medical & Wellness Center LLC
- Miami Medical Care Center Inc
- Miami Medical Service
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.